MEDIATION PRACTICUM APPLICATION
Please complete the application information and answers to the exercise questions. Please remit your complete application or questions regarding the practicum to Chris Vermillion at, and include your resume and Basic Mediation Training Certificate. Chris can also be reached by phone at 206 443-9603 X 106. Classes have been postponed and begin on a date to be decided.
NameDate
Address
Street CityStateZip
Home Telephone #Work Telephone #
Email AddressCell Phone #
Name of Employer
Where and when did you complete 36-40 hour Basic Mediation Training? (Attach copy of certificate)
Did your Basic Mediation Training include a component on Co-Mediation?Yes No
Why are you interested in enrolling in the mediation practicum?
How are you hoping to use your mediation training?
The Dispute Resolution Center of King County values and celebrates diversity of race, perspectives, sexuality and socio-economic backgroundswithin our staff, board, volunteers and practicum students.
Please describe your experience working and interacting withcommunities who have traditionally been adversely affected by institutional or systemic discrimination.How would you apply this experience as a mediator?
How will you add to the diversity of the KCDRC community? Feel free to mention aspects of your identity such as race, color, ethnicity, national origin, age, gender, socio-economic status, religion, disability, sexual orientation, gender identityand anything else that would add to the diversity of the KCDRC.
Do you have other skills, life or work experience that you would like us to consider?
Please write your response to the following questions based on this conflict scenario and the techniques and tools learned in basic mediation training.
JANE & MICHAEL
You are in the negotiation phase of the mediation of a neighbor to neighbor conflict that started with a disagreement over a fence.
Jane Jones says, “That fence is an abomination! It has to go.”
Michael Smith says, “I refuse to take the fence down. That isn’t negotiable.”
1. What would you do next?
2. What would you do if Jane wanted to put the tree roots as an issue on the agenda and Michael refused?
3. Jane is getting very emotional and begins to cry. What would you do?
Give an example of each kind of deadlock and your strategies to overcome it.
a. A positional deadlock -
b. An emotional deadlock –
c. An informational deadlock –
d. A communication deadlock –
e. A procedural deadlock -
1